KASMEJ

Kastamonu Medical Journal regularly publishes internationally qualified issues in the field of Medicine in the light of up-to-date information.

EndNote Style
Index
Case Report
An unusual cause of ascites: eosinophilic gastroenteritis
Eosinophilic gastroenteritis is a rare disease, characterized by eosinophilic infiltrates in the intestinal layers. Its etiology is not well known. A biopsy is mandatory for accurate diagnosis. Clinical presentation is variable and can be seen in numerous diseases. There are no pathognomonic findings. Serosal-type involvement is the rarest and usually is associated with ascites. In this case, we report a 21-year-old female patient presented with abdominal pain, diarrhoea, vomiting and ascites. Diagnosis of eosinophilic gastroenteritis was made after eliminating broad-spectrum mimicking causes of tissue eosinophilia. The patient recovered completely after treatment with steroids.


1. Khan S. Eosinophilic gastroenteritis. Best Pract Res Clin Gastroenterol.2005; 19(2): 177-98.
2. Mansoor E, Saleh MA, Cooper GS. Prevalence of EosinophilicGastroenteritis and Colitis in a Population-Based Study, From 2012 to2017. Clin Gastroenterol Hepatol. 2017; 15(11): 1733-1741.
3. Talley NJ, Shorter RG, Phillips SF, Zinsmeister AR. Eosinophilicgastroenteritis: a clinicopathological study of patients with disease of themucosa, muscle layer, and subserosal tissues. Gut. 1990; 31(1): 54-8.
4. Cello JP. Eosinophilic gastroenteritis--a complex disease entity. Am J Med.1979; 67(6): 1097-104.
5. Abou Rached A, El Hajj W. Eosinophilic gastroenteritis: Approach todiagnosis and management. World J Gastrointest Pharmacol Ther. 2016;7(4): 513-523.
6. Klein NC, Hargrove RL, Sleisenger MH, Jeffries GH. Eosinophilicgastroenteritis. Medicine (Baltimore). 1970; 49(4): 299-319.
7. Lucendo AJ, Arias A. Eosinophilic gastroenteritis: an update. Expert RevGastroenterol Hepatol. 2012; 6(5): 591-601.
8. Collins MH. Histopathologic features of eosinophilic esophagitis andeosinophilic gastrointestinal diseases. Gastroenterol Clin North Am. 2014;43(2): 257-68.
9. Okimoto E, Ishimura N, Okada M, et al. Successful food-elimination diet in an adult with eosinophilic gastroenteritis. ACG Case Rep J. 2018;5(1):e38.
10. Elliott JA, McCormack O, Tchrakian N, et al. Eosinophilic ascites withmarked peripheral eosinophilia: a diagnostic challenge. Eur J GastroenterolHepatol. 2014; 26(4): 478-84.
11. Pineton de Chambrun G, Gonzalez F, Canva JY, ,et al. Natural history ofeosinophilic gastroenteritis. Clin Gastroenterol Hepatol. 2011; 9(11): 950-956.e1.
12. Uppal V, Kreiger P, Kutsch E. Eosinophilic Gastroenteritis and Colitis: aComprehensive Review. Clin Rev Allergy Immunol. 2016; 50(2): 175-88.
13. Memon RJ, Savliwala MN. Eosinophilic Gastroenteritis. [Updated2021 Dec 25]. In: StatPearls [Internet]. Treasure Island (FL): StatPearlsPublishing; 2022 Jan-. Available from: https: //www.ncbi.nlm.nih.gov/books/NBK547729/
Volume 3, Issue 1, 2023
Page : 49-51
_Footer